Stoneleigh House

On this page

• Overview
• Assessing needs
• Delivering evidence-based care and treatment
• How staff, teams and services work together
• Supporting people to live healthier lives
• Monitoring and improving outcomes
• Consent to care and treatment

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider made sure people’s care and treatment was effective by assessing and reviewing their health, care, wellbeing and communication needs with them.

People told us they felt they were at the centre of the care they received. Not everyone told us they had been directly involved in writing their care plan, as people told us they did not want to be, people explained they were involved in decisions about their care on a day‑to‑day basis through verbal discussions and being offered choices. One person told us, “‘I have never seen my care plan, I’m not interested as long as I keep getting what I want.”

Care plans were up-to-date and clearly reflected people’s individual assessed needs. They provided a good overview of each person, including information about their background, health condition, and important relationships. Care plans clearly identified people’s likes and dislikes, which supported staff to provide personalised care and support in line with people’s wishes and routines.

The provider planned and delivered people’s care and treatment with them, including what was important and mattered to them. They did this in line with legislation and current evidence-based good practice and standards.

The registered manager was initially unclear when discussing the principles of Right Support, Right Care, Right Culture. However, it was evident throughout the inspection these principles were embedded in practice. During our second visit, the registered manager had taken steps to further develop their understanding, including researching the framework and beginning to share this information with staff to strengthen awareness and consistency across the service.

Care plans contained clear, person-centred guidance for staff on how to support people safely and effectively. Care records demonstrated risks were appropriately assessed and care plans reflected on keeping people safe. For example, where a person was living with diabetes, a comprehensive care plan and detailed risk assessment were in place. These included clear guidance for staff on monitoring blood glucose levels, recognising the signs and symptoms of hypo- and hyperglycaemia, and taking appropriate action when required.

The provider worked well across teams and services to support people. They made sure people only needed to tell their story once by sharing their assessment of needs when people moved between different services.

We found evidence that staff, teams and services worked collaboratively with external healthcare professionals to meet people’s needs, while also advocating on their behalf when required. We reviewed care records which confirmed GP appointments were requested and arranged in a timely manner. Records showed ongoing involvement from district nurses in supporting people living with diabetes.

During our onsite visit we observed a routine visit from the district nursing service to support a person with their diabetes management. The district nurse did not follow the agreed approach outlined in the person’s care plan, which required advance contact prior to visits. This caused the person distress. We observed the registered manager appropriately challenge this practice with the district nursing team to ensure the agreed care plan was adhered to and the person’s preferences and wellbeing were prioritised. The district nurse agreed to double check their notes regarding the person.

The provider supported people to manage their health and wellbeing to maximise their independence, choice and control. Staff supported people to live healthier lives and where possible, reduce their future needs for care and support.

People were supported to make healthy lifestyle choices. They were actively involved in deciding meal options through regular resident meetings, where their preferences and dietary needs were discussed and reviewed. A rotating five‑week menu was in place, ensuring meals were varied and balanced. This was further supported by themed and special menus, which offered additional choice and variety.

Where people had specific health needs, these were considered. For example, a separate menu was available to support people living with diabetes, helping them to manage their condition through appropriate dietary choices.

People were supported to maintain a healthy and active lifestyle. One person told us they had been supported by staff to join a gym to help with weight loss. They said they went swimming regularly, which they found enjoyable and beneficial in supporting weight management and keeping active.

The provider routinely monitored people’s care and treatment to continuously improve it. They ensured that outcomes were positive and consistent, and that they met both clinical expectations and the expectations of people themselves.

Each person had individual goals in place, which were reviewed annually. These goals were person‑centred, achievable, and designed to support outcomes that mattered to people. Goals included maintaining an active role within the community, maintaining relationships, and remaining mobile.

People were supported to work towards personal aspirations, such as attending a football match, going on a trip to Blackpool, and seeing a show at the theatre. One person had a goal related to improving physical health and weight management and had been supported to join a gym. When we spoke with this person, they told us they were regularly going swimming as part of this goal.

Progress towards goals was monitored by senior staff and management, and support was adapted where needed to help people maintain independence, health, and wellbeing.

The provider told people about their rights around consent and respected these when delivering person-centred care and treatment.

People’s consent to care and treatment was sought and appropriately recorded where people had the capacity to make decisions. People told us staff consistently gained their consent before providing any support and took time to explain what was going to happen, which helped them feel involved, respected, and in control of their care.

Where people lacked capacity to make specific decisions, best‑interest decisions were made in accordance with relevant legislation. These decisions were well documented and involved appropriate individuals, including family members and relevant professionals. This ensured decisions were person‑centred and clearly focused on achieving outcomes in the person’s best interests.